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Testicular Self-Exam

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101. Intestinal Polyposis Syndromes (Follow-up)

. The presence of gynecomastia or precious puberty in the patient with suspected PJS should prompt careful evaluation to exclude testicular or gynecologic malignancy. Early institution of screening for the detection of breast cancer (self-examination, mammography) and awareness of the increased risk for development of malignancy may improve the life expectancy of patients with PTEN -hamartomatous syndromes. Minimizing exposure to ultraviolet light and ionizing radiation in patients with GS may diminish (...) disease; complications from hamartomatous GI polyps; and cerebellar, skin, and renal malignancies. Gorlin syndrome Patients with GS should minimize exposure to ultraviolet light and ionizing radiation to deter the development of basal cell carcinomas. Establishment of skin self-examination programs may facilitate early detection of basal cell carcinomas. Patients with GS should have ophthalmologic screening for glaucoma and cataracts. Patients should have routine dental follow-up care if cysts

2014 eMedicine Pediatrics

102. Cryptorchidism (Overview)

of surgery (before age 1 year) and the benefits of early surgical intervention. The patient and his family should be informed about the risks of infertility and malignancy. Self-examination after the onset of puberty should be discussed as very important for the early diagnosis and successful treatment of testicular cancer. Previous References Braga LH, Lorenzo AJ. Cryptorchidism: A practical review for all community healthcare providers. Can Urol Assoc J . 2017 Jan-Feb. 11 (1-2Suppl1):S26-S32 (...) the 0.3-0.7% reported in the healthy population. The most common tumor in an undescended testis is a , whereas the most common tumor after successful orchiopexy is . Approximately 20% of these tumors occur in a contralateral descended testis. Carcinoma in situ occurs in approximately 0.4% of patients undergoing orchiopexy. Orchiopexy is not protective against subsequent testis cancer but does place the testis in a favorable position for routine self-examination, which is important in the early

2014 eMedicine Pediatrics

103. Disorders of the Breast (Follow-up)

with a positive family history. [ ] Screening guidelines for patients with a history of atypia on breast biopsy findings are still evolving. In adults, current recommendations include yearly physician examinations and yearly mammography. [ ] Patients should be aware of the limitations and should be taught how to perform self-examinations on their breasts. No data indicate that the additive radiation from mammography increases the risk of breast cancer. These recommendations should be followed in children (...) . [ ] The differential diagnosis for gynecomastia includes the following: Testicular feminization Hormone-secreting tumors Drug use (eg, cimetidine, marijuana) Familial predisposition Previous Next: Malignant Breast Disease in Children and Adolescents Malignant breast disease is uncommon in children and in adolescents. Risk factors for breast malignancies include the following: History of familial breast cancer Previous benign disease associated with malignancy (ie, fibrocystic changes with atypia) Other

2014 eMedicine Pediatrics

104. Cryptorchidism (Follow-up)

to seeing the patient again at the time of puberty. Discussions of fertility issues and the need for self-examination to detect cancer should be revisited. Previous References Braga LH, Lorenzo AJ. Cryptorchidism: A practical review for all community healthcare providers. Can Urol Assoc J . 2017 Jan-Feb. 11 (1-2Suppl1):S26-S32. . . Barthold JS, Redman JF. Association of epididymal anomalies with patent processus vaginalis in hernia, hydrocele and cryptorchidism. J Urol . 1996 Dec. 156(6):2054-6 (...) fertility and hormonal production To diagnose potential testicular malignancies Other putative benefits include correction of associated hernias and prevention of testicular torsion. The risk of trauma and possible psychological effects of having a missing testis must be taken into account. Orchiopexy should be considered after 4 months of life; the rate of descent diminishes considerably after this point. For postpubertal adolescents and men younger than 32 years who underwent unilateral orchiopexy

2014 eMedicine Pediatrics

105. Breast Cancer, Male

), recommendations include monthly breast self-examinations, semiannual clinical breast examinations, and baseline followed by yearly mammography if gynecomastia or breast density are seen. [ ] See the image below. A partially circumscribed retroareolar mass in a male with suspicious microcalcifications; this is known breast cancer. For excellent patient education resources, visit eMedicineHealth's . Also, see eMedicineHealth's patient education articles , , and . Next: Radiography On mammography, male breast (...) , obesity, cirrhosis, exogenous estrogen therapy, testicular abnormality), and radiation exposure. [ , ] Male breast cancer is most commonly invasive ductal or ductal carcinoma in situ (DCIS). [ ] Male breasts lack terminal ductal lobular units, thus lobular carcinoma is extremely rare except in cases of estrogen exposure. The majority of male breast cancers are estrogen and progesterone receptor positive, like in female breast cancer. However, male breast cancer is 3 times less likely to be HER2

2014 eMedicine Radiology

106. Late Effects of Childhood Cancer and Treatment (Diagnosis)

capabilities. Chemotherapy agents, specifically alkylating agents can affect ovarian and testicular function as well. [ ] The hypothalamus tends to be more sensitive to effects of radiation than the pituitary gland. Growth hormone (GH) is the first hormone to be affected, followed by gonadotropins and then adrenocorticotropic hormone (ACTH) secretion. This effect is related to the total dose and fraction size of radiation received. Age at the time of treatment is also a factor; younger patients are more (...) implications for patient education and family planning. [ ] Fertility Irradiation of the gonads can also affect fertility.{ref1556-INVALID REFERENCE} Delivery of as little as 2-3 Gy to the testes causes 100% aspermia with no recovery after as many as 40 months of follow-up. This is an important consideration for boys undergoing testicular irradiation for testicular germ cell tumors or testicular disease from ALL, abdominal irradiation for advanced Hodgkin disease, or total-body irradiation with bone marrow

2014 eMedicine Pediatrics

107. Bone Marrow Transplantation, Long-Term Effects (Follow-up)

exposure. Perform breast self-examination. Perform skin self-examination. Eat high-fiber foods and foods with vitamins A and C. Decrease fat in the diet. Have an annual professional dermatology exam. Endocrinopathies Obtain thyroid-stimulating hormone (TSH) and free T4 levels annually for those who received TBI. Measure annual growth velocity. (If abnormal, evaluate with provocative testing.) Monitor secondary sex characteristics (eg, menses and follicle-stimulating hormone [FSH] and luteinizing (...) was 2.1 and seemed to decrease over time. All of the second malignancies were solid tumors, and 9 of them were meningiomas. [ ] Overall, the risk of developing a second malignancy from growth hormone therapy remains unclear and should be weighed against the benefits in childhood cancer survivors. Gonadal dysfunction High-dose alkylator and radiation therapy used as conditioning for HSCT invariably affect ovarian and testicular function. When discussing gonadal dysfunction, 2 distinct aspects must

2014 eMedicine Pediatrics

108. Seminoma (Follow-up)

than pure yolk sac were found to be negative factors, but did not achieve statistical significance at the 0.05 level. [ ] Previous Next: Patient Education Patients diagnosed with testicular seminoma have an increased risk of developing a contralateral testis tumor. These patients should be taught methods of testicular self-examination. This form of screening should be performed monthly so that a second primary tumor can be identified at the earliest possible stage. Previous References Fernandes ET (...) Updated: Apr 18, 2017 Author: Arnold C Paulino, MD; Chief Editor: Cameron K Tebbi, MD Share Email Print Feedback Close Sections Sections Pediatric Seminoma Follow-up Further Outpatient Care Fertility evaluation/sperm banking As a group, patients with testicular cancer are more likely to have subfertility characteristics (eg, lower motile sperm count, decreased sperm mobility, suboptimal motility characteristics) than a healthy, age-matched cohort. [ ] Modern adjuvant therapies for seminoma have

2014 eMedicine Pediatrics

109. Patient Modesty: Volume 76

At , said... PT, have you actually had intimate medical care in the past decade or is where you are coming based on very long ago experiences? I have been catheterized probably 3 dozen times over the past 11 years by a number of female nurses (mostly NP's)for cystoscopies, bladder cancer treatments, and two surgeries. At the beginning of the process I also had an abdominable & testicular ultrasound by a female tech. I have been self conscious each and every time but my exposure is always kept

2016 Bioethics Discussion Blog

112. Late Effects of Treatment for Childhood Cancer

patients who survive more than 5 years after their diagnosis. Using SEER data, conditional relative survival up to 25 years after diagnosis was studied in a cohort of adolescent and young adult patients (N = 205,954) diagnosed with a first malignant cancer (thyroid, melanoma, testicular, breast, lymphoma, leukemia, and central nervous system [CNS] tumors). For all cancer types combined, among individuals who survived up to 5 years, subsequent 5-year relative survival exceeded 95% by 7 years after

2012 PDQ - NCI's Comprehensive Cancer Database

113. eJournal Club - Session length and weight gain

IDWG. Perhaps when the nephrology community acknowledges the true relationships between IDWG, high ultrafiltration rates, sodium modeling and myocardial ischemia/cardiac stunning/ cardiac hybernation, perhaps then, the iatrogenic nature of IDWG will strike a chord of introspective self examination of the prohibition of the Hippocratic Oath, first do no harm. said... Great comment, thanks. I think that's the real value of Jenny's research. Subscribe to: Interested in Contributing to the Renal Fellow (...) a transplant because of two prior cancers, testicular in medical school and melanoma shortly after starting dialysis. Interestingly, the melanoma was found by my request for a dermatology screen as part of my transplant evaluation. Using the term "noncompliance" underlies the prevalent imbalance in the doctor-patient relationships in dialysis units. It ignores the physiology of myocardial ischemia inducing permanent damage to the heart of dialysis patients from excessive ultrafiltration rates even

2013 Renal Fellow Network

114. Pre-participation Exam

and ankle (unstable) (Recurrent dislocation) Assess elbow stability Painful disease IX. Exam: Neurologic Gross coordination X. Exam: Genitourinary Male s Single unpaired ( ) Testicular Masses Tanner stage See in Boys Discuss Self- exam peak in age 18-35 years XI. Exam: Genitourinary Female No longer done routinely with now Schedule separate gynecologic exam if indicated Ask about ( ) or Menstrual dating See in Girls XII. References Images: Related links to external sites (from Bing) These images

2015 FP Notebook

115. 3 successful physician social media stories

rap videos where he raps about topics like safe sex, alternative medicine, vaccines. One of his more famous videos is a Michael Jackson parody called , where he raps about testicular self-exams. Ever since that video got put up on YouTube, he gets calls from clinics across the country saying they’re diagnosing more testicular masses because that video is being played in their waiting rooms. As Zubin said in one of his talks, he had more public health influence dressed in a bathrobe rapping in his

2015 KevinMD blog

117. Peutz-Jeghers Syndrome

of Peutz-Jeghers syndrome patients includes colonoscopy, upper endoscopy, and video capsule endoscopy beginning at age 8, with the timing of subsequent surveillance determined by the findings. Surveillance for breast, ovarian, endometrial, and cervical cancer should include breast self-examination starting at age 18 and then starting at age 25 should include annual pelvic examination, pelvic or transvaginal ultrasound, Papanicolaou (Pap) test, and breast MRI and/or mammogram. In addition, surveillance (...) for pancreatic cancer should begin at age 30 and include magnetic resonance cholangiopancreatography (MRCP) or endoscopic ultrasonography. Surveillance of the testes (for Sertoli cell tumor) by testicular examination should be done annually from birth to adolescence; ultrasonography should be done if abnormalities are palpated or if feminization occurs. Although Peutz-Jeghers syndrome patients are at increased risk of lung cancer, no specific screening is recommended but should be considered if patients

2013 Merck Manual (19th Edition)

118. Health Supervision of the Well Child

orthopedic evaluation. Genital examination Girls should be offered a pelvic examination and Papanicolaou (Pap) testing at age 21. All sexually active patients should be screened for sexually transmitted diseases. Testicular and inguinal evaluation should be done at every visit, specifically looking for undescended testes in infants and young boys, testicular masses in older adolescents, and inguinal hernia in boys of all ages. Adolescent boys should be taught how to do testicular self-examination (...) to check for masses, and adolescent girls should be taught how to do breast self-examination. Prevention Preventive counseling is part of every well-child visit and covers a broad spectrum of topics, such as recommendations to have infants sleep on their backs, injury prevention, nutritional and exercise advice, and discussions of violence, firearms, and substance abuse. Safety Recommendations for injury prevention vary by age. Some examples follow. For infants from birth to 6 mo: Using a rear-facing

2013 Merck Manual (19th Edition)

119. Prescribe Exercise for Prevention of Falls and Fractures: A Family Health Team Approach

of Canada 2010. Family Physicians as Gatekeepers. Health Canada. Database on the Internet 2011; Available at: Accessed June 8 2011. Barling NR, Lehmann M. Young men's awareness, attitudes and practice of testicular self-examination: a Health Action Process Approach. Psychol Health Med 1999; 4(3):255-263. Cao D, Xie G. From intention to health behavior: An overview on Health Action Process Approach. Chinese Journal of Clinical Psychology 2010; 18(6 (...) and maintenance of health behaviors: Theoretical approaches and a new model. Washington: Hemisphere; 1992. p. 217-243. Luszczynska A, Schwarzer R. Planning and self-efficacy in the adoption and maintenance of breast self-examination: A longitudinal study on self-regulatory cognitions. Psychology and Health 2003; 18:93-108. Layout table for additonal information Responsible Party: University of Waterloo Identifier: Other Study ID Numbers: 17664 First Posted: October 3, 2012 Results First

2012 Clinical Trials

120. Cancer information and anxiety: applying the extended parallel process model. (Abstract)

Cancer information and anxiety: applying the extended parallel process model. There is concern that public education about testicular cancer (TC) may cause unnecessary anxiety. Psychological theory suggests that if threat (eg, TC) information is accompanied with threat control strategies (eg, testicular self-examination; TSE) anxiety is less likely. Male students (N=443) were randomized to either a TC or TC +TSE information group or a no information control group, and assessed at three time (...) points. Anxiety levels did not differ between the groups and exposure to TC+TSE resulted in greater perceived message benefit, increased intention to self-examine and lower message denigration. This suggests TC information is not anxiogenic, but inclusion of TSE information may improve acceptance of disease awareness information.

2012 Journal of health psychology Controlled trial quality: uncertain

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